EP2111163B1 - System, a method and a computer program for determining a functional property of a moving object - Google Patents

System, a method and a computer program for determining a functional property of a moving object Download PDF

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Publication number
EP2111163B1
EP2111163B1 EP08702589.6A EP08702589A EP2111163B1 EP 2111163 B1 EP2111163 B1 EP 2111163B1 EP 08702589 A EP08702589 A EP 08702589A EP 2111163 B1 EP2111163 B1 EP 2111163B1
Authority
EP
European Patent Office
Prior art keywords
pacing
movement
heart
functional property
elements
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP08702589.6A
Other languages
German (de)
English (en)
French (fr)
Other versions
EP2111163A1 (en
Inventor
Robert Manzke
Raymond C. Chan
Vivek Reddy
Andre L. B. D'avila
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Koninklijke Philips NV
Original Assignee
Koninklijke Philips NV
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Publication date
Application filed by Koninklijke Philips NV filed Critical Koninklijke Philips NV
Publication of EP2111163A1 publication Critical patent/EP2111163A1/en
Application granted granted Critical
Publication of EP2111163B1 publication Critical patent/EP2111163B1/en
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1107—Measuring contraction of parts of the body, e.g. organ or muscle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12—Arrangements for detecting or locating foreign bodies
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; Determining position of diagnostic devices within or on the body of the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36578—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by mechanical motion of the heart wall, e.g. measured by an accelerometer or microphone
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/368—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions
    • A61N1/3684—Heart stimulators controlled by a physiological parameter, e.g. heart potential comprising more than one electrode co-operating with different heart regions for stimulating the heart at multiple sites of the ventricle or the atrium

Definitions

  • the functional property determination device is adapted for determining the movement of the right chamber of the heart from the at least one first pacing element and the movement of the left chamber of the heart from the at least one second pacing element. Since the functional property determined by the functional property determination device is correlated with the movement of the heart, the determined movements of the right chamber and the left chamber of the heart can be used for determining the functional property of the heart more accurately.
  • the functional property determination device is adapted for determining a degree of synchrony between the movement of the right chamber and the left chamber of the heart from the determined movement of the at least one first pacing element and the at least one second pacing element and from a determined movement of at least one third tag contacted to an atrium of the heart.
  • the degree of synchrony can be used in a CRT.
  • the determination of the degree of synchrony allows controlling an adaptation and/or a positioning of pacer electrodes during a CRT such that the degree of synchrony is maximized. This is preferentially performed by firstly determining the movement of the heart chambers from the determined movement of the pacing elements and secondly by determining the degree of synchrony from the determined movement of the heart chambers. But, it is also preferred that the degree of synchrony is determined directly from the determined movement of the pacing elements.
  • a computer program may be stored/distributed on a suitable medium, such as an optical storage medium or a solid-state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless telecommunication systems.
  • a suitable medium such as an optical storage medium or a solid-state medium supplied together with or as part of other hardware, but may also be distributed in other forms, such as via the Internet or other wired or wireless telecommunication systems.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Physiology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Dentistry (AREA)
  • Hematology (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Electrotherapy Devices (AREA)
EP08702589.6A 2007-02-14 2008-02-07 System, a method and a computer program for determining a functional property of a moving object Active EP2111163B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US88979307P 2007-02-14 2007-02-14
US91354907P 2007-04-24 2007-04-24
PCT/IB2008/050437 WO2008099304A1 (en) 2007-02-14 2008-02-07 System, a method and a computer program for determining a functional property of a moving object

Publications (2)

Publication Number Publication Date
EP2111163A1 EP2111163A1 (en) 2009-10-28
EP2111163B1 true EP2111163B1 (en) 2019-04-24

Family

ID=39495081

Family Applications (1)

Application Number Title Priority Date Filing Date
EP08702589.6A Active EP2111163B1 (en) 2007-02-14 2008-02-07 System, a method and a computer program for determining a functional property of a moving object

Country Status (5)

Country Link
US (1) US8805479B2 (https=)
EP (1) EP2111163B1 (https=)
JP (1) JP5775670B2 (https=)
CN (1) CN101605499B (https=)
WO (1) WO2008099304A1 (https=)

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008152542A2 (en) * 2007-06-12 2008-12-18 Koninklijke Philips Electronics N.V. Image guided therapy
WO2010108146A2 (en) 2009-03-20 2010-09-23 Orthoscan Incorporated Moveable imaging apparatus
US9125611B2 (en) 2010-12-13 2015-09-08 Orthoscan, Inc. Mobile fluoroscopic imaging system
EP2744409A1 (en) * 2011-10-20 2014-06-25 Koninklijke Philips N.V. Shape sensing devices for real-time mechanical function assessment of an internal organ
EP2938248A4 (en) * 2012-12-31 2016-09-07 M I Medical Incentive Ltd SYSTEM AND METHOD FOR DIAGNOSIS AND MONITORING IN CARDIOVASCULAR SCREENING

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6501981B1 (en) * 1999-03-16 2002-12-31 Accuray, Inc. Apparatus and method for compensating for respiratory and patient motions during treatment
US20030013977A1 (en) * 2001-07-13 2003-01-16 Cardiac Pacemakers, Inc. Device programmer with enclosed imaging capability
EP1504713A1 (en) * 2003-07-14 2005-02-09 Surgical Navigation Technologies, Inc. Navigation system for cardiac therapies
US20060100509A1 (en) * 2004-07-23 2006-05-11 Wright J N Data processing for real-time tracking of a target in radiation therapy

Family Cites Families (23)

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US5431696A (en) * 1992-10-13 1995-07-11 Atlee, Iii; John L. Esophageal probe for transeophageal cardiac stimulation
US5549650A (en) * 1994-06-13 1996-08-27 Pacesetter, Inc. System and method for providing hemodynamically optimal pacing therapy
CA2242360C (en) * 1996-01-08 2009-03-10 Biosense, Inc. Cardiac electro-mechanics
US6468265B1 (en) * 1998-11-20 2002-10-22 Intuitive Surgical, Inc. Performing cardiac surgery without cardioplegia
US6368285B1 (en) * 1999-09-21 2002-04-09 Biosense, Inc. Method and apparatus for mapping a chamber of a heart
DE19946948A1 (de) * 1999-09-30 2001-04-05 Philips Corp Intellectual Pty Verfahren und Anordnung zur Bestimmung der Position eines medizinischen Instruments
DE10033063A1 (de) * 2000-07-07 2002-01-24 Brainlab Ag Verfahren zur atmungskompensierten Strahlenbehandlung
US6959214B2 (en) * 2001-11-28 2005-10-25 Medtronic, Inc. Implantable medical device for measuring mechanical heart function
US6976967B2 (en) * 2002-02-19 2005-12-20 Medtronic, Inc. Apparatus and method for sensing spatial displacement in a heart
JP2003284716A (ja) * 2002-03-27 2003-10-07 Toshiba Corp 放射線診断装置及び治療用挿入体
US6978184B1 (en) * 2002-07-29 2005-12-20 Marcus Frank I Optimization method for cardiac resynchronization therapy
US7139608B2 (en) * 2002-07-31 2006-11-21 Uab Research Foundation Pacing methods and devices using feedback controlled timing
US7599730B2 (en) * 2002-11-19 2009-10-06 Medtronic Navigation, Inc. Navigation system for cardiac therapies
US7204798B2 (en) * 2003-01-24 2007-04-17 Proteus Biomedical, Inc. Methods and systems for measuring cardiac parameters
JP4847684B2 (ja) * 2004-03-11 2011-12-28 株式会社日立メディコ 画像診断装置
US7228475B2 (en) * 2004-09-30 2007-06-05 Advantest Corporation Program, test apparatus and testing method
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JP4921816B2 (ja) * 2005-03-15 2012-04-25 株式会社東芝 超音波診断装置及びその制御プログラム
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Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6501981B1 (en) * 1999-03-16 2002-12-31 Accuray, Inc. Apparatus and method for compensating for respiratory and patient motions during treatment
US20030013977A1 (en) * 2001-07-13 2003-01-16 Cardiac Pacemakers, Inc. Device programmer with enclosed imaging capability
EP1504713A1 (en) * 2003-07-14 2005-02-09 Surgical Navigation Technologies, Inc. Navigation system for cardiac therapies
US20060100509A1 (en) * 2004-07-23 2006-05-11 Wright J N Data processing for real-time tracking of a target in radiation therapy

Also Published As

Publication number Publication date
WO2008099304A1 (en) 2008-08-21
JP2010532670A (ja) 2010-10-14
CN101605499B (zh) 2012-10-03
US20100094128A1 (en) 2010-04-15
CN101605499A (zh) 2009-12-16
US8805479B2 (en) 2014-08-12
JP5775670B2 (ja) 2015-09-09
EP2111163A1 (en) 2009-10-28

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